Applications for the Champaign County Museum Network Bus Fund come from teachers and educators representing schools. Please complete the following information about yourself as the applicant.
Teacher/Educator Name: *
Your answer
Contact Email: *
Your answer
School Name and Address: *
Your answer
School District Name and Number: *
Your answer
Proposed Visit/Field Trip Information
In this section, the applicant will detail the proposed field trip information.
Date of Visit(s) *
Your answer
CCMN Museum to be Visited *
Choose
Anita Purves Nature Center
Champaign County Historical Archives
Champaign County History Museum
Giertz Gallery at Parkland College
Homer Lake Interpretive Center
Illinois Distributive Museum
Krannert Art Museum
Lincoln Legacy Project
Museum of the Grand Prairie
Pollinatarium
Sousa Archives & Center for American Music
Spurlock Museum
William M. Staerkel Planetarium
Program to Be Presented: *
Your answer
2nd CCMN Museum to be Visited (if applicable)
Choose
Anita Purves Nature Center
Champaign County Historical Archives
Champaign County History Museum
Giertz Gallery at Parkland College
Homer Lake Interpretive Center
Illinois Distributive Museum
Krannert Art Museum
Lincoln Legacy Project
Museum of the Grand Prairie
Pollinatarium
Sousa Archives & Center for American Music
Spurlock Museum
William M. Staerkel Planetarium
Program to Be Presented:
Your answer
Number of Students: *
Your answer
Grade(s): *
Your answer
Estimated Bus Costs: *
Your answer
Would not receiving this assistance keep you from making this visit/these visits? *
By typing your full name below, you affirm that the information above is accurate and complete. *
Your answer
Thank you for your submission.
Your submission will be reviewed by the officers of Champaign County Museum Network. A member of the network will be in touch with a response within 4 weeks of the receipt of this application.
A copy of your responses will be emailed to the address you provided.